Simplify Data Entry and Validation

Modernize Medical Claims Management

AI supports healthcare providers by providing a medical claims co-pilot to help them efficiently navigate through the applicable rules and regulations to file the claim to get paid the first time. An AI-powered tool creates a streamlined, lower-touch process so that claims are processed efficiently and accurately.

Andersen Consulting Delivers

AI simplifies claim entry and validation.

• AI-powered tools ingest documentation and data related to the claim from relevant channels such as police records, medical records, or directly from the patient for AI algorithms to then analyze, extract key information, and begin to determine associated costs. By parsing through the initial unstructured documentation and data, AI algorithms streamline the claims processing and adjudication process while also reducing repetitive tasks such as data entry or claim validation.
• AI algorithms can also analyze claim information against applicable laws, regulations, and insurance policies to determine eligibility and calculate compensation amounts.

Maximizing Value

• Improved employee and customer experience. An AI-powered claims co-pilot tool creates a streamlined, lower-touch process claims processed efficiently and accurately.
• A claim co-pilot for healthcare providers to help claims get paid during the first filing.